18-100406 Electrical
City of Federal Way Permit #:18-100406-00-EL
Community Development Dept.
33325 8th Ave S
Ph:(253)
Federal Way,WA(253)835-2609 98003 Inspection Request Line: (253)835-3050
Project Name: CLUB PALISADES APARTMENTS BUILDG 31 UNIT 203
Project Address: 2211 S STAR LAKE RD Parcel Number:720480 0095
Project Description: Repair fire-damaged wire;new 125-amp panel; (2)new heaters.
Owner Applicant Contractor
K W CLUB PALISADES LLC BEACON PLUMBING&MECHANICAL BEACON PLUMBING&MECHANICAL
C/O FPI MANAGEMENT INC (ELECTRICAL) (ELECTRICAL)
800 IRON POINT PKWY RD SUITE 726 8611 192ND ST BEACOPM856P6(9/12/20)
FOLSOM CA 95630 KENT WA 98031 8611 192ND ST
KENT WA 98031
•
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Alt. Serv./Feeder:0 to 200 ami I
PERMIT EXPIRES Saturday,26 January,2019
Permit Issued on Friday,January 26,2018
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy an he use will be in accordance with the laws, rules and regulations of the State of
ashington and the City of Federal Way.
Owner or agent: Date: -l 8
r r
THIS CARD IS TO REMAIN ON-SITE
CI
Construction Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 100406 00 Address: 2211 S STAR LAKE RD Bldg 31
Project: K W CLUB PALISADES LLC FEDERAL WAY WA 98003
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if
you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
0 UFER Ground(4295) 0 Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
• .Date .By Date By Date
El Pool Bonding(4195) El Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date /*By Date By Date
4 •4 ID
•Feeders/Sub-panels(4045) ® Rough Electrical(4225) „® Ceiling Cover(4020)
Approved Approved Approved
�By Date .,By 0_,‘t�,� Date C — '31�-ice f,By Date
•El Final-Electrical(4055)
1ByApproved
Date (!P /.
0 Rough Electrical 0 Final Electrical 0. Right of Way
Approved Approved Approved
By Date By Date By Date
Ahh. ELECTRICAL
CITY OF
Federal Way RECEIVED PERMIT APPLICATION
JAN 262018
WAYPERMIT NUMBER 7y. _ / 6 6 O 4 - 00
EVELOPMENT
CQMCST(
MUONTEDDERAL
C1 3 ( SUITE/UNIT/SPACE#
SITE ADDRESS: \S J "TA'Z-I� (,cR, 94 G(3) � "` 7ro3 B Id X 31 i 1* Z03
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# / CURRE /PROPOSED USE
$ 5 c-)pa -
PROJECT NAME
(Tenant or Homeowner Last Name) r�
PROJECT DESCRIPTION 1\)4W 17, S -i iD 1 'irva\
Detailed description of work to Z NQ `Lo 1 w-Akee S.
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
/
NAM `1\/'Y1 N11) -$ €IeC.+�1C. ...(�t06 rap PRIMARY
Y PHONE
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MAILING ADDRESS �q
'03'
J E-MAIL
ELECTRICAL ' ..‘11 S 12.1 S+
CONTRACTOR CITY UN I STATE i2 i FAX
W tl ( ) -
WA STATE CONTRACTOR'S LICE' # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
'ac a�OPO\Is a _ e 3--/b5701—
NAME / 4 67/9 PRIMARY PHONE
APPLICANT MAILING ADDRESS (/ ( ) E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT L Pv\e\e(Sol ) (206 )'7 _ 9$9 8
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses,and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ci as a part of this application.
/V 1^ ?,C. '.. I e
SIGNATURE: DATE
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Bulletin#160—April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application